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http://dx.doi.org/10.3348/kjr.2010.11.3.257

Transcatheter Arterial Embolization in Patients with Kidney Diseases: an Overview of the Technical Aspects and Clinical Indications  

Loffroy, Romaric (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
Rao, Pramod (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
Kwak, Byung-Kook (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
Ota, Shinichi (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
De Lin, Ming (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
Liapi, Eleni (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
Geschwind, Jean-Francois (Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital)
Publication Information
Korean Journal of Radiology / v.11, no.3, 2010 , pp. 257-268 More about this Journal
Abstract
Therapeutic embolization is defined as the voluntary occlusion of one or several vessels, and this is achieved by inserting material into the lumen to obtain transient or permanent thrombosis in the downstream vascular bed. There are a number of indications for this approach in urological practice, in particular for the patients with parenchymatous or vascular kidney disease. In this review, we present the different embolization techniques and the principally employed occluding agents, and then we present the principal clinical indications and we discuss other pathologies that may benefit from this non-invasive therapy. The complications, side effects and main precautions associated with this approach are also described.
Keywords
Kidney; Arterial embolization; Interventional radiology; Surgery;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
Times Cited By Web Of Science : 1  (Related Records In Web of Science)
Times Cited By SCOPUS : 2
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1 Maleux G, Messiaen T, Stockx L, Vanrenterghem Y, Wilms G. Transcatheter embolization of biopsy-related vascular injuries in renal allografts. Long-term technical, clinical and biochemical results. Acta Radiol 2003;44:13-17   DOI   ScienceOn
2 Loffroy R, Guiu B, Cercueil JP, Krause D. Endovascular therapeutic embolization: an overview of occluding agents and their effects on embolised tissues. Curr Vasc Pharmacol 2009;7:250-263   DOI   ScienceOn
3 Singh R, O'Brien T. The role of transarterial embolization in the treatment of renal cell carcinoma. BJU Int 2004;93:181
4 Bakal CW, Cynamon J, Lakritz PS, Sprayregen S. Value of preoperative renal artery embolization in reducing blood transfusion requirements during nephrectomy for renal cell carcinoma. J Vasc Interv Radiol 1993;4:727-731   DOI   ScienceOn
5 Maxwell NJ, Saleem Amer N, Rogers E, Kiely D, Sweeney P, Brady AP. Renal artery embolisation in the palliative treatment of renal carcinoma. Br J Radiol 2007;80:96-102   DOI   ScienceOn
6 Lenton J, Kessel D, Watkinson AF. Embolization of renal angiomyolipoma: immediate complications and long-term outcomes. Clin Radiol 2008;63:864-870   DOI   ScienceOn
7 Clark TW, Sankin A, Becske T, Nelson PK, Fox M. Stentassisted Guglielmi detachable coil repair of wide-necked renal artery aneurysm using 3-D angiography. Vasc Endovascular Surg 2007;41:528-532
8 Kunzendorf U, Keller F, Schwietzer G, Sorensen R, Distler A. Control of renovascular hypertension by renal embolization. Am J Nephrol 1990;10:339-343   DOI   ScienceOn
9 Olivero JJ, Frommer JP, Gonzalez JM. Medical nephrectomy: the last resort for intractable complications of the nephrotic syndrome. Am J Kidney Dis 1993;21:260-263   DOI
10 Hiraki T, Mimura H, Gobara H, Fujiwara H, Iguchi T, Sakurai J, et al. Pulmonary edema as a complication of transcatheter embolization of renal angiomyolipoma in a patient with pulmonary lymphangioleiomyomatosis due to tuberous sclerosis complex. J Vasc Interv Radiol 2009;20:819-823   DOI   ScienceOn
11 Ko JS, Kim JA, Do YS, Kwon MA, Choi SJ, Gwak MS, et al. Prediction of the effect of injected ethanol on pulmonary arterial pressure during sclerotherapy of arteriovenous malformations: relationship with dose of ethanol. J Vasc Interv Radiol 2009;20:39-45   DOI   ScienceOn
12 Soulen MC, Faykus MH Jr, Shlansky-Goldberg RD, Wein AJ, Cope C. Elective embolization for prevention of hemorrhage from renal angiomyolipomas. J Vasc Interv Radiol 1994;5:587- 591   DOI   ScienceOn
13 Konya A, Choi BG, Van Pelt CS, Wright KC. Transcatheter arterial embolization of renal VX-2 carcinoma: ethiodol-ethanol capillary embolization combined with carboplatin. Korean J Radiol 2007;8:136-147   DOI   ScienceOn
14 Nosher JL, Needell GS, Bialy G, Zatina M. Catheter occlusion of a mycotic renal artery aneurysm with cure of associated renovascular hypertension. Cardiovasc Intervent Radiol 1989;12:310-312   DOI   ScienceOn
15 Keller FS, Coyle M, Rosch J, Dotter CT. Percutaneous renal ablation in patients with end-stage renal disease: alternative to surgical nephrectomy. Radiology 1986;159:447-451   DOI
16 May M, Brookman-Amissah S, Pflanz S, Roigas J, Hoschke B, Kendel F. Pre-operative renal arterial embolisation does not provide survival benefit in patients with radical nephrectomy for renal cell carcinoma. Br J Radiol 2009;82:724-731   DOI   ScienceOn
17 Park JH, Kim SH, Han JK, Chung JW, Han MC. Transcatheter arterial embolization of unresectable renal cell carcinoma with a mixture of ethanol and iodized oil. Cardiovasc Intervent Radiol 1994;17:323-327
18 Cimsit NC, Baltacioglu F, Cengic I, Akpinar IN, Ilker Y, Turkeri L. Transarterial glue embolization in iatrogenic renovascular injuries. Int Urol Nephrol 2008;40:875-879   DOI   ScienceOn
19 Abath C, Andrade G, Cavalcanti D, Brito N, Marques R. Complex renal artery aneurysms: liquids or coils? Tech Vasc Interv Radiol 2007;10:299-307   DOI   ScienceOn
20 Kauffmann GW, Richter GM, Rohrbach R, Wenz W. Prolonged survival following palliative renal tumor embolization by capillary occlusion. Cardiovasc Intervent Radiol 1989;12:22-28   DOI   ScienceOn
21 Williams JM, Racadio JM, Johnson ND, Donnelly LF, Bissler JJ. Embolization of renal angiomyolipomata in patients with tuberous sclerosis complex. Am J Kidney Dis 2006;47:95-102
22 Courtheoux P, Maiza D, Mani J, Mercier V, Theron J. Postnephrectomy arteriovenous fistula of the renal pedicle treated with detachable balloons: a case report. Cardiovasc Intervent Radiol 1988;11:340-342   DOI   ScienceOn
23 Lanigan D, Jurriaans E, Hammonds JC, Wells IP, Choa RG. The current status of embolization in renal cell carcinoma -- a survey of local and national practice. Clin Radiol 1992;46:176-178   DOI   ScienceOn
24 Guy L, Alfidja AT, Chabrot P, Ravel A, Boiteux JP, Boyer L. Palliative transarterial embolisation of renal tumors in 20 patients. Int Urol Nephrol 2007;39:47-50   DOI   ScienceOn
25 Sofocleous CT, Hinrichs C, Hubbi B, Brountzos E, Kaul S, Kannarkat G, et al. Angiographic findings and embolotherapy in renal arterial trauma. Cardiovasc Intervent Radiol 2005;28:39- 47   DOI   ScienceOn
26 Houlle D, Reizine D, Ruffenacht D, Riche MC, Merland JJ. Embolization of iatrogenic traumatic vascular lesions of the kidney. Apropos of 25 cases. Ann Urol (Paris) 1986;20:15-19 [French]
27 Loffroy R, Guiu B, Lambert A, Mousson C, Tanter Y, Martin L, et al. Management of post-biopsy renal allograft arteriovenous fistulas with selective arterial embolization: immediate and longterm outcomes. Clin Radiol 2008;63:657-665   DOI   ScienceOn
28 Kim TH. Renal cell carcinoma in a horseshoe kidney and preoperative superselective renal artery embolization: a case report. Korean J Radiol 2005;6:200-203   DOI   ScienceOn
29 Probert CS, Osborn DE, Watkin EM. Malignant hypertension due to embolisation of a clear cell renal carcinoma. Br J Urol 1992;70:95-96
30 Weckermann D, Schlotmann R, Tietze W, Hackel T. Gas formation after renal artery embolisation: genesis and clinical relevance. Urol Int 1992;49:211-214   DOI   ScienceOn
31 Hadley DA, Bryant LJ, Ruckle HC. Conservative treatment of renal angiomyolipomas in patients with tuberous sclerosis. Clin Nephrol 2006;65:22-27   DOI
32 Flanigan RC. The failure of infarction and/or nephrectomy in stage IV renal cell cancer to influence survival or metastatic regression. Urol Clin North Am 1987;14:757-762
33 Dahami Z, Saghir O, Cherif Idrissi Elganouni N, Dakir M, Moudouni MS, Sarf I, et al. Renal stab wounds: about 20 cases. Prog Urol 2009;19:15-20 [French]   DOI
34 Gutta R, Lopes J, Flinn WR, Neschis DG. Endovascular embolization of a giant renal artery aneurysm with preservation of renal parenchyma. Angiology 2008;59:240-243   DOI   ScienceOn
35 Jafri SZ, Ellwood RA, Amendola MA, Farah J. Therapeutic angioinfarction of renal carcinoma: CT follow-up. J Comput Assist Tomogr 1989;13:443-447   DOI   ScienceOn